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General NPI Number Information
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NPI Number | 1871480616
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Entity Type | Individual
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Provider Name | PAZAO LOR
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Gender | Female
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 130 S 6TH ST
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City | FOWLER
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State | CA
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Zip | 93625-2438
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Country | US
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Telephone | 559-834-3973
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Fax | 559-632-1390
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Provider Business Mailing Address
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Address Line | 1717 S CHESTNUT AVE
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City | FRESNO
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State | CA
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Zip | 93702-4709
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Country | US
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Telephone | 559-453-2000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 95035443
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95201399
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License Number State | CA
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